| Detroit Health Department | |
|
3245 E Jefferson Ave Detroit MI 48207-4222 | |
| (313) 876-4307 | |
| Not Available |
| Full Name | Detroit Health Department |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 3245 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Kanzoni Asabigi (GENERAL MANAGER) |
| Authorized Official Contact | 3138674307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Health Department 1151 Taylor St 111 C Detroit MI 48202-1732 Ph: (313) 876-4307 | Detroit Health Department 3245 E Jefferson Ave Detroit MI 48207-4222 Ph: (313) 876-4307 |
| NPI Number | 1538479019 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538479019 | NPI | - | NPPES |
| 445991 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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